Alexis Johnson
Behavior Technician in Burnsville, MN. Individual provider (NPI-1).
NPI number1831908649
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1831908649
- Entity type
- Individual (NPI-1)
- Name
- Alexis Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 3, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1517 Highway 13 EBurnsville, MN 55337-2917
Phone 612-756-9107
Mailing address
1517 Highway 13 EBurnsville, MN 55337-2917
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